| NPI | 1164836417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUDRA R PRINCE President 479-498-6700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AR 2060C) |
| Enumeration Date | 2014-06-15 |
| Last Update Date | 2014-07-22 |